Average Medicaid Case Management Services Payments in Charlottesville, VA: $274.39
Avg. Paid
$274.39
Range
$31.15 – $327.80
Total Claims
67,381
Providers
13
Typical Payment Range
Typical Medicaid Case Management Services payments fall between $29.56 and $179.61 per claim (median: $67.41). The top 10% of payments exceed $299.49.
Based on per-provider averages across all Medicaid claims in this category.
Care coordination services that help patients navigate the healthcare system, connect with resources, and manage complex medical or social needs.
Understanding these costs
The amounts shown are Medicaid reimbursement rates — what state Medicaid programs paid providers per claim. Medicaid typically pays well below private insurance rates and out-of-pocket prices. Use this data to compare relative costs between providers, not as a price estimate for privately insured or self-pay patients.
Providers Offering Case Management Services in Charlottesville, VA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Gregory A. Cohron
1300 Jefferson Park Ave |
$243.00 | 27 | 27 |
|
Holly A Johnson
1244 Clifden Greene |
$247.73 | 38 | 38 |
|
Jacque Karen Gentry
1445 E Rio Rd |
$31.15 | 39 | 32 |
|
Colleen J Bressler
1215 Lee St |
$78.93 | 43 | 43 |
|
Teswar Wood
2325 Highland Ave |
$239.99 | 76 | 76 |
|
Jefferson Area Chip, Inc.
1469 Greenbrier Pl |
$80.15 | 516 | 515 |
|
Nassima Tiouririne
1300 Jefferson Park Ave |
$232.33 | 599 | 551 |
|
Erik William Gunderson
1007 E High Street |
$210.76 | 688 | 609 |
|
Quincy Xue-Ying Zhong
2955 Ivy Rd Ste 210 |
$245.00 | 1,426 | 1,377 |
|
People Places, Inc.
1002 E Jefferson St |
$327.80 | 1,751 | 1,696 |
|
Addiction Allies, Llc
631 Berkmar Cir |
$238.40 | 3,619 | 3,448 |
|
Addiction Recovery Systems Llc
103 S Pantops Dr |
$232.50 | 6,364 | 5,977 |
|
Region Ten Community Community Services Board
500 Old Lynchburg Rd |
$284.67 | 52,195 | 51,419 |
What to Expect: Case Management Services
A case manager works with you to coordinate your healthcare and social services. They help schedule appointments, arrange transportation, connect you with community resources, and ensure you understand your treatment plan. Case management is especially helpful for people with chronic conditions, disabilities, or complex medical needs. Meetings may be in person, by phone, or video.
Cost Components
National average Medicaid payment per billing code. Individual rates vary by provider and state.
| Code | Description | Avg. Paid | Claims | Providers |
|---|---|---|---|---|
| T1016 | Case management | $53.04 | 98,273,616 | 8,345 |
| T1017 | Targeted case management | $112.10 | 75,144,121 | 9,742 |
| G9012 | Other specified case mgmt | $107.65 | 20,935,656 | 2,248 |
| T2022 | Case management, per month | $203.72 | 18,391,337 | 2,261 |
| G9005 | Mccd, risk adj, maintenance | $160.92 | 12,898,667 | 261 |
| T2023 | Targeted case mgmt per month | $413.92 | 12,595,953 | 2,134 |
| G9008 | Mccd,phys coor-care ovrsght | $74.59 | 4,952,338 | 1,128 |
| G9002 | Mccd,maintenance rate | $93.74 | 4,503,842 | 1,749 |
| G9010 | Mccd, risk adj, level 4 | $4.35 | 2,996,162 | 176 |
| G9006 | Mccd, home monitoring | $83.36 | 2,206,712 | 1,176 |
| G9004 | Mccd, risk adj lo, initial | $17.14 | 1,881,109 | 123 |
| G9011 | Mccd, risk adj, level 5 | $1.80 | 1,085,895 | 76 |
| G9007 | Mccd, sch team conf | $30.13 | 764,968 | 640 |
| G0506 | Comp asses care plan ccm svc | $32.42 | 655,789 | 933 |
| G9001 | Mccd, initial rate | $212.13 | 505,177 | 339 |
| G9003 | Mccd, risk adj hi, initial | $316.88 | 201,792 | 84 |
| G9009 | Mccd, risk adj, level 3 | $203.75 | 153,433 | 534 |
These are national Medicaid averages for each billing code. Actual amounts vary by state, provider, and complexity.
Frequently Asked Questions
How much does a Case Management Services cost in Charlottesville, VA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Case Management Services in Charlottesville, VA is $274.39 per claim, based on 67,381 claims from 13 providers. Typical payments fall between $29.56 and $179.61. Note: Medicaid rates are typically much lower than private insurance or self-pay prices.
How many providers offer Case Management Services in Charlottesville, VA?
There are 13 Medicaid providers offering Case Management Services related services in Charlottesville, VA according to public payment data.
What is the price range for Case Management Services in Charlottesville, VA?
Medicaid reimbursement for Case Management Services in Charlottesville, VA ranges from $31.15 to $327.80 per claim, with an average of $274.39. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Case Management Services in Other Cities
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Avg $197.77
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Miami, FL
Avg $82.94
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New York, NY
Avg $322.62
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Montgomery, AL
Avg $50.35
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Oklahoma City, OK
Avg $178.61
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Avg $32.09
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Other Procedures in Charlottesville, VA
Office Visit
Avg $136.17
1,567,109 claims
Blood Work & Lab Tests
Avg $5.91
1,542,207 claims
X-Ray
Avg $8.17
685,304 claims
Substance Abuse Treatment
Avg $55.62
629,775 claims
Emergency Room Visit
Avg $131.46
564,756 claims
Non-Emergency Medical Transportation
Avg $69.45
541,131 claims
Home Health Visit
Avg $89.44
372,945 claims
Vaccines & Immunizations
Avg $9.90
335,059 claims